Descripción del trabajo
Further Group is a fast growing and dynamic company at the forefront of innovation, leveraging cutting edge technology and a deep understanding of the healthcare sector to deliver turnkey solutions for the treatment of serious medical conditions.
Our company works with insurers, large employers, and affinity organizations worldwide, to accelerate consumer access to the best treatment choices. As the global leader in our field, we are seeking a highly experienced and dynamic individual to join us as Clinical Case Manager (Romanian Speaker).
Position
We are looking for a Clinical Case Manager (Romanian Speaker) who will play a key role in serving our customers and solving the claims within the agreed service level and at the highest quality for our stakeholders.
The ideal candidate has experience in customer operations within the sector of health insurance or second medical opinion. The Clinical Case Manager will assess, plan, implement, monitor, and evaluate actions required to provide the best remote support to the patient prior, during and after the treatment. The successful candidate will be accountable for the full Customer Care cycle.
* Perform efficiently the end-to-end process of Claims and Customer Service always ensuring the best quality service for all stakeholders.
* Follow defined processes and work instructions as per Policy and service conditions, manuals, and rules in place.
* Provide support to Claimants, Clients and Providers via phone, chat, email, digital platforms or other as per communication standards.
* Make sure the Claims process is seamless connecting with the Medical Team, rest of the Customer Operations Team, other internal Teams as necessary and external providers (TPAs and Medical Providers).
* Collect and review documents and medical information necessary for the claims process.
* Organize and manage travel and accommodation.
* Maintain all case records completed and up to date within internal systems (i.e., record case information, complete accurately all necessary forms, constant updates of case information).
* Escalate issues and complex cases to Line Manager for guidance in pursuing the most assertive resolution.
* Anticipate issues providing acceptable solutions and reducing complaints.
* Participate in gathering feedback from different stakeholders within the framework of Continuous Improvement.
We'd love to meet someone who :
* A University or College Undergraduate degree.
* 1-2 years of professional experience in Customer Service role.
* Experience from an international health / insurance-oriented business is a plus.
* Understanding of customer operations processes.
* Experience working in different markets and coordinate with other service providers is a plus.
* Excellent verbal and written communication skills in Romanian and English, any other European language will be considered an asset.
* Strong interpersonal skills, empathetic.
* High attention to detail, organized and structured mind.
* Experience in problem resolution.
* Ability to work cross-functionally in an organization.
What we're offering :
Are you looking for a new challenge in your career? Do you want to join a growing, dynamic and engaged international company with perspective for significant growth? If so, we have the perfect opportunity for you!
We are looking for talented professionals who want to work in a hybrid working model, where you can enjoy the best of both worlds : three days in the office and two days at home.
As part of our team, you will collaborate with colleagues from different countries and backgrounds, sharing your expertise and learning from theirs. You will work in a modern, open plan office in a beautiful building in central Madrid, close to transport hubs. And you will have access to complementary fruit, tea, and coffee to keep you energized throughout the day.
In addition, we offer attractive employee benefits, including Cobee for social benefits and flexible compensation, as well as Wellhub, a platform designed to support your well-being and promote an active, healthy lifestyle.
If this sounds like the ideal job for you, don't hesitate to apply now! We are looking forward to hearing from you!
Why us?
We believe passionately that employing a diverse workforce is central to our success. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital, or disability status.
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